Quest v0.2/ G6PD: In the G6PD Test questionnaire on press N/A, add High and Low Hemoglobin checkbox

[f-odhiambo]

Name of feature to enhance
Add fields on press N/A on the G6PD test questionnaire
Description of feature
When a user clicks on N/A

1. Add a check box showing Hemoglobin levels as either High or Low
2. Similar to normal mode, show input fields for both G6PD and Hemoglobin levels
3. Submit

Describe the enhancement

1. Later post extraction of the Observation resources for Save Hemoglobin by adding value for Hemoglobin and whether it was High or Low as shown in the code snippet and a separate Observation resource for G6PD levels

Sample observation resource snippet

{
  "resourceType": "Observation",
  "status": "final",
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "718-7",
        "display": "Hemoglobin [Mass/volume] in Blood"
      }
    ]
  },
  "subject": {
    "reference": "Patient/f001",
    "display": "P. van de Heuvel"
  },
  "effectivePeriod": {
    "start": "2013-04-05T10:30:10+01:00",
    "end": "2013-04-05T10:30:10+01:00"
  },
  "issued": "2013-04-05T15:30:10+01:00",
  "performer": [
    {
      "reference": "Practitioner/f005",
      "display": "A. Langeveld"
    }
  ],
  "valueQuantity": {
    "value": 7.2,
    "unit": "g/dl",
    "system": "http://unitsofmeasure.org",
    "code": "g/dL"
  },
  "interpretation": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code": "L",
          "display": "Low"
        }
      ]
    }
  ],
  "referenceRange": [
    {
      "low": {
        "value": 7.5,
        "unit": "g/dl",
        "system": "http://unitsofmeasure.org",
        "code": "g/dL"
      },
      "high": {
        "value": 10,
        "unit": "g/dl",
        "system": "http://unitsofmeasure.org",
        "code": "g/dL"
      }
    }
  ]
}

[maimoonak]

@f-odhiambo currently we are not processing any of the fields into test-results questionnaire. Those are saved as questionnaire-response directly.

Also do we want to use structure-map for this?

[f-odhiambo]

@maimoonak I think in the interim let's add the two fields and check whether High or Low and submit to a questionnaire response. We will also need to create a structure-map for the extraction of the relevant resources later required in RIM

[maimoonak]

Codes SNOMED:
Plasma haemoglobin level = 104142005
High = 75540009
Low = 62482003

Check updated questionnaire here https://fhir.labs.smartregister.org/fhir/Questionnaire/3440

In current quest app -> clear data -> relogin -> let it finish sync -> check G6PD test form ; you would be able to see the updated questionnaire. In code the sample form would be updated with next PR if no changes are suggested

[f-odhiambo]

Looks good, here is a screenshot

Kindly add validation based on Gender and Age

Validation of Haemoglobin and G6PD readings

1. Category | Hgb level, in grams per deciliter (g/dL) - To be verified at the next Workshop !!!!!

Category	Hgb level, in grams per deciliter (g/dL)
infants(less than 1yr old)	11–18
young children (<18yrs)	11.5–16.5
adult males (> 18yrs)	13–16.5
adult females (> 18yrs) (not pregnant)	12–16
adult females (> 18yrs) (pregnant)	11–16

2. G6PD Limits - To be verified at the next Workshop !!!!!

Gender	Lower Limit (Severe Deficiency)	Higher Limit (Severe Deficiency)
Male	1.09	6.54
Female	1.1	6.6

[maimoonak]

Done. Plz verify it by logging out, login again and wait for successful sync, and test again
G6PD = 1.0 -> 6.7
HB = 4.0 -> 19.0